Same day admission for elective cardiac surgery: how to improve outcome with satisfaction and decrease expenses.

Area of Science:

• Anesthesiology
• Peri-operative Medicine
• Surgical Outcomes

Background:

• Same-day surgery admission is a prevalent practice for elective cardiac and non-cardiac procedures.
• This approach offers significant medical, logistical, psychological, and financial advantages.
• Success hinges on efficient outpatient pre-operative evaluation and streamlined logistical pathways.

Purpose of the Study:

• To review the successful implementation of a pre-operative same-day cardiac surgery clinic.
• To provide guidance for anesthesiologists establishing similar pre-operative clinics.
• To highlight the role of anesthesiologists in optimizing the peri-operative surgical home concept.

Main Methods:

• Review of an 8-year experience in implementing a pre-operative same-day cardiac surgery clinic.
• Focus on the establishment of a functional pre-operative clinic with comprehensive setup and efficient logistics.
• Anesthesiologist-led pre-operative evaluation to reduce unnecessary admissions and cancellations.

Main Results:

• Demonstrated benefits of same-day admission, including reduced pre-operative hospitalizations, lab tests, and consultations.
• Successful implementation of a pre-operative clinic leading to decreased day-of-surgery cancellations.
• Anesthesiologists taking a leadership role in pre-operative care and the peri-operative surgical home model.

Conclusions:

• Effective pre-operative evaluation is crucial for the success of same-day surgery admission.
• Anesthesiologists are pivotal in optimizing pre-operative processes and reducing healthcare costs.
• The peri-operative surgical home model, led by anesthesiologists, enhances patient care throughout the surgical journey.